ABSTRACT
OBJECTIVE
To enhance understanding about how living on a low income affects patients' self-management
of type 2 diabetes, from their perspective.
METHOD
A qualitative inquiry using semi-structured interviews was conducted to explore the
experiences of low- income persons with type 2 diabetes. Participants were 60 patients
from 4 community health centres in a large Canadian city.
RESULTS
An overarching theme and 3 sub-themes were generated, which describe participants'
struggle to survive and manage their diabetes as best they can, given their circumstances.
CONCLUSIONS
Findings support the importance of providing patient-centred care, incorporating poverty
as a clinical risk factor, assisting patients to access resources and advocacy to
bring about policy changes needed to prevent and properly manage diabetes.
RÉSUMÉ
OBJECTIF
Mieux comprendre, du point de vue du patient, comment le fait d'avoir un faible revenu
nuit a l'autogestion du diabete de type 2.
MÉTHODES
Des entretiens qualitatifs semi-structurés ont été menes sur les experiences de personnes
atteintes de diabeté de type 2 ayant un faible revenu. On a interrogé 60 patients
de quatre centres de santé communautaire d'une grande ville canadienne.
RESULTATS
On a cerné un grand théme et trois sous-thémes décrivant la lutte des patients pour
survivre et gérer le diabété du mieux qu'ils peuvent compte tenu de leur situation.
CONCLUSIONS
Les résultats démontrent qu'il est important d'offrir des soins axés sur le patient,
d'ajouter la pauvreté aux facteurs de risque cliniques, d'aider les patients a accéder
aux ressources et de défendre les intéréts des patients pour que soient adoptes les
changements d'orientation néces- saires à la prévention et a la bonne gestion du diabéte.
KEY WORDS
MOTS CLES
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© 2010 Canadian Diabetes Association. Published by Elsevier Inc. All rights reserved.
